Resumen

RODRIGUEZ FERNANDEZ, Olga María; SANCHEN CASAS, Alexis; CORDERO RODRIGUEZ, Magaly  y  DEUS CABRERA, Jorge. Bacterial meningoencephalitis by Streptococcus agalactiae. A case report. AMC [online]. 2008, vol.12, n.3. ISSN 1025-0255.

A case of a newborn of 13 days of age is reported, admitted at «Dr. Eduardo Agramonte Piña» Educational Provincial Pediatric Hospital of Camagüey by presenting fever, irritability and distal cyanosis, besides pathological antecedents of purulent conjunctivitis in both eyes at born. The cytochemistry study of the cerebrospinal fluid suggested bacterial meningoencephalitis. He was transferred to the Intensive Therapy room where he presented five convulsive crisis in the first 48h. To the 72h of been confined from the culture of the cerebrospinal fluid a Streptococcus agalactiae was isolated, sensitive to Ceftriaxone, Amikacin and Ampicillin, with the last antimicrobial a satisfactory evolution was achieved with negative cytochemistry and bacteriological exams of the cerebrospinal fluid. To the 17 days of been admitted after-effects appeared as affectation of the third cranial pair, bilateral cortical thumbs and muscular hypertonia of the right leg. He was hospital discharged at the 22 days, with follow-up in his health area and diagnosis at discharge of bacterial meningoencephalitis by S. agalactiae due to an ocular sepsis acquired passing the fetus through the maternal birth canal. The adoption of preventive strategies by the health staff against this bacteria is suggested by unknown its impact in our medium

Palabras clave : Meningoencephalitis [diagnosis].

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